Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
RIBOFLAV5 & RIBOFLAV5-DEXTRAN 0.146 &0.146-20 % OPHTH SOSY
Madison, WI
See all hospitals reporting HCPCS J2787 →Price type
University of Wisconsin Hospital and Clinics Authority’s median price of $7.8k is 89% above the median hospital's median price ($4.1k), higher than 89% of the 913 hospitals reporting HCPCS J2787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Apr 1, 2026
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